SOEHARTO GOTAMA
NPI 1760952915
Behavior Technician in Laguna Hills, CA
About Soeharto Gotama NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOEHARTO GOTAMA (NPI 1760952915) is an individual behavior technician in Laguna Hills, California and active in the NPI registry since November 2018.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAGUNA HILLS, CA 92653
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Soeharto Gotama's NPI number?
The NPI number for Soeharto Gotama is 1760952915. It was assigned to this individual provider in the NPPES registry on November 30, 2018.
Where is Soeharto Gotama located?
Soeharto Gotama practices at 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653. The listed phone number is (818) 241-6780.
What is Soeharto Gotama's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Soeharto Gotama was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.